dear parents and campers - university of maryland...although camp can help your child learn...

16
The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.) 1 Dear Parents and Campers! Welcome to the 2017 4-H/Pre-Teens Camp! This year’s camp is a partnership camp with the Prince George’s County 4-H and Maryland-National Capital Park and Planning Commission. The camp will take place at Camp Round Meadow Catoction Mountain in Thurmont, Maryland and will be held from August 8-12, 2017. You already know that camp presents a tremendous opportunity for your child to broaden horizons, make new and lasting friends, and discover new strengths. After all, you wouldn’t be considering camp if you didn’t think it would add substantially to your child’s growth and development. Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve a skill in just about any physical endeavor, the true payoff of camp will be apparent when your child comes home more self- reliant, self-sufficient, and self-confident. What a gift to give to your child! We know that you are sending your most cherished loved ones to camp with us and we hope that you don’t think it’s strange of us to ask you to take some time to write down a few things that you would want us to know about your child. Oh sure, there are those official camp forms where you tell us what your son or daughter is allergic to, physical description and if they’re immunization are current, but we also want to know who they are as a person and their interest. We want the campers’ stay to be a life time memory as it was for many of the staff that went to camp as a child. To help the campers understand the diversity in their community, getting along with other campers, improve their interpersonal and leadership skills, and youth/adult partnerships we are planning the camp’s activities around a new 4-H curriculum called: “Up For the Challenge: Lifetime Fitness and Healthy Decisions. We will be using our Teen Leaders as Teachers. The campers will be also participating in the usual camp activities of swimming, hiking, arts & crafts, good fun and of course the Thursday night dance. We will keep the campers moving all weekend to creative movement to music. We are an accredited camp through the American Camping Association (ACA). This is verification from the ACA that our camp has complied with up to 300 industry-established health and safety standards, which are recognized by courts of law and government regulators as the standards of the camp industry. In 2001 our camp won the Eleanor P. Eells Award from the ACA for program excellence. We were nominated for this award again for our 2002 camp and placed in the top five in the country. The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

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Page 1: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

1

Dear Parents and Campers!

Welcome to the 2017 4-H/Pre-Teens Camp! This year’s camp is a partnership camp with the Prince George’s County 4-H and Maryland-National Capital Park and Planning Commission. The camp will take place at Camp Round Meadow Catoction Mountain in Thurmont, Maryland and will be held from August 8-12, 2017.

You already know that camp presents a tremendous opportunity for your child to broaden horizons, make new and lasting friends, and discover new strengths. After all, you wouldn’t be considering camp if you didn’t think it would add substantially to your child’s growth and development. Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve a skill in just about any physical endeavor, the true payoff of camp will be apparent when your child comes home more self-reliant, self-sufficient, and self-confident. What a gift to give to your child!

We know that you are sending your most cherished loved ones to camp with us and we hope that you don’t think it’s strange of us to ask you to take some time to write down a few things that you would want us to know about your child. Oh sure, there are those official camp forms where you tell us what your son or daughter is allergic to, physical description and if they’re immunization are current, but we also want to know who they are as a person and their interest. We want the campers’ stay to be a life time memory as it was for many of the staff that went to camp as a child.

To help the campers understand the diversity in their community, getting along with other campers, improve their interpersonal and leadership skills, and youth/adult partnerships we are planning the camp’s activities around a new 4-H curriculum called: “Up For the Challenge: Lifetime Fitness and Healthy Decisions. We will be using our Teen Leaders as Teachers.

The campers will be also participating in the usual camp activities of swimming, hiking, arts & crafts, good fun and of course the Thursday night dance. We will keep the campers moving all weekend to creative movement to music.

We are an accredited camp through the American Camping Association (ACA). This is verification from the ACA that our camp has complied with up to 300 industry-established health and safety standards, which are recognized by courts of law and government regulators as the standards of the camp industry. In 2001 our camp won the Eleanor P. Eells Award from the ACA for program excellence. We were nominated for this award again for our 2002 camp and placed in the top five in the country.

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

Page 2: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

2

Attached is a final list of items campers need to bring with them to camp. Below is emergency contact information for the camp ground:

Catoctin Mountain Park 6602 Foxville Road Thurmont, MD 21788-2598

Should you have any further questions or concerns, please feel free to contact Pam Mack 301-868-9636.Thank you and we look forward to seeing you at camp!

Lenora Harper

Lenora Harper Camp Director

Page 3: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

3

4-H CAMP PACKING INFORMATION

Welcome to the 4-H Pre-Teens Camping Trip! This year’s camp is a partnership camp with the Prince George’s County 4-H and Maryland-National Capital Park and Planning Commission. Your participation in all scheduled programs, contributions to sessions, and friendly attitude will make this an exceptional four and a half day experience. You will meet new people, explore new ideas, share your interests, and speak out on issues that matter to you.

What is Camp about? We are an accredited camp through the American Camping Association (ACA). This is verification from the ACA that our camp has complied with up to 300 industry-established health and safety standards, which are recognized by courts of law and government regulators as the standards of the camp industry. In 2001 our camp won the Eleanor P. Eells Award for the ACA for Program Excellence. We were nominated for this award again for our 2002 camp and placed in the top five in the country.

Who, when and Where? The camp will take place at the Camp Round Meadow-Catoctin Mountain Park, 14840 Manahan Rd, Sabillasville, Maryland, from August 8-12, 2017. Youth between the ages of 9-13 are allowed to participate.

Getting There: We’ll be using a commercial bus. From Washington DC take the 495 north to I270 north 27 miles to Frederick, MD. Take Route 15 17 miles north to Thurmont, MD. Take Route 77 West, the exit sign is marked Catoctin Mountain Park. Travel approximately 6 miles west on 77 (you will pass Park Central Road and the park Visitor Center) and turn right onto Foxville-Deerfield Road. As the road forks, turn right onto Manahan Road. Continue approximately 3/4 mile and turn left into Camp Round Meadow. Park in the large gravel parking lot.

When You Arrive at the Community Center Parents/Guardian must check you in at the registration area before boarding the bus. All Medications must be turned in at the registration area. It is important to arrive on time because we will be leaving Columbia Park / Kentland Community Center at 8:00 a.m. SHARP!

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

Page 4: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

4

What to Bring A checklist for camp is attached to this letter. Leave items of value at home. The program cannot be responsible for items lost during camp. Dress for camp is fun wear you will need to bring bed linens, towels, and personal care items. Please be sure that everything you bring to camp is clearly marked with your name.

Cabin Living Camp gives you a chance to experience all aspects of outdoor living. Camp participants will be housed with eight teens and two counselors. This is a great chance to get to know teens from other areas. Cabin changes cannot be granted during camp. While you are at camp remember that you represent yourself, your community and family. Treat all property with respect. Males and female are housed separately and teens are not permitted to visit the rooms of opposite sex participants. We will have cabin meetings at night to answer any questions about the next day and to help you solve any problems you may have encountered.

Transportation A bus will be picking up and dropping off camp participants from Kentland Community Center. Please have someone bring and pick up from this location. You will not be allowed to leave your personal vehicle on the premises.

Special Needs If you have any needs which require modifications in housing, meals, or program, please contact Lenora Harper by Monday July 31, 2017 with your requests so that appropriate accommodations can be made.

What Not To Bring to Camp Weapons (knives, guns, etc.) No food No Sandals

No! electronics of any kind: cell phone,

ipod/ipad, MP3/dvd/cd players, gaming systems

Packing Checklist: Medication Bring comfortable outfits Sleepwear One piece swimwear (ONLY) 1- Towel for pool Shower shoes or flip flops

Comfortable walking shoes Light jacket or sweater Sunscreen Sleeping bag or bed linen and

pillow Personal items Disposable Camera

Page 5: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

5

Sample Day at Camp

9 am Breakfast 5pm – 6pm Dinner 10am – 12pm Safe Day Activities 6pm – 8pm Water Games 12pm – 1pm Lunch 8pm – 10pm Camp Fire/Snack 1pm – 2pm Safe Day Activities 10pm – 11:30pm Talent Show 2pm – 4pm Swimming/Snack 11:30pm – 12 am Rap Sessions 4pm – 5pm Quiet Games/Arts n’ Crafts 12am Lights Out

Special Events tentatively scheduled for this year’s camp trip:

Water Olympics Caribbean Carnival Talent Show

REQUIREMENTS

Must be a teen between the ages of 9-13 Must be an ACTIVE member in the 4-H Club or their community Must have a valid Maryland-National Capital Park and Planning Commission Center ID Card

Questions-If you need additional information about camp please contact Lenora Harper 301-386-2278.

Page 6: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

6

Drop-off and Pick-up Location:

Columbia Park/Kentland Community

Center

2413 Pinebrook Ave

Landover, Maryland 20785

(301) 386-2278Drop-off: Tuesday, August 8, 2017 @ 7:30 am

Pick-up: Saturday, August 12, 2017 @ 2:30 pm

Page 7: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

7

4-H Teen Camp Checklist:Complete ALL forms below, return with checklist and payment.

Camper’s Name: ___________________________

1. ____Registration Form and payment

2. _____Maryland 4-H Behavioral Expectations &

Disciplinary Policy & Procedures- (3 pages)

3. ____Maryland Parental Release and Informed

Consent Form- (2 pages)

4. ____Photograph Release Form

5.____Member Enrollment- Go and create your

profile information on 4-H Online Access:

https://maryland.4honline.com

6.___Cell Phone Statement

7. ____Maryland 4-H Camps Sunscreen

Authorization Form

8. ___Maryland 4-H camps Health Form (6

pages) FYI-Please keep Welcome letter, 4-H Camp

packing information, and Times for Drop-off & Pick up!

Page 8: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

8

FEES and CHARGES

Total Camp Fee per camper (Ages 9-13) $100.00. Campers must show proof of residents and school attendance i.e. report card (submitted along with camp application)

Payment Deadline: Monday, July 24, 2017. All paperwork must be completed andaccompany the youth prior to camp. Any youth that does not have all required paperwork completedWILL NOT be allowed to go to camp – NO EXCEPTION!

DETAILS:

Only Cash and Money Orders will be accepted! NO CHECKS WILL BE ACCEPTED

Please make money order payable to: Prince George’s County Extension Advisory Council - PGCEAC

CANCELLATION AND REFUNDS:

A two (2) week cancellation notice is required! Cancellation and refund request on both partial and fully paid registrations are subject to a $25.00 cancellation fee per person. NO EXCEPTIONS!

For more information, please call Pam Mack at 301.868.9636

REGISTRATION FORM

Camper’s Name: ____________________________________ Age: ______ DOB: ____________

Parents/Guardian’s Full Name: _________________________________________________________

Street Address: ___________________________________________________________________

City: ________________________________ State: _________ Zip Code: ____________

Work Phone: _________________________ Home Phone: ______________________

Circle and list Information Dietary / Disability / Health Concern

I have read all information started I this brochure from camp management and I agree to all the terms stated above.

_________________________________ ________________________________________ Parents/Guardian Signature Date

Mail Registration Forms and Payment to:

University of Maryland Extension Attn: Pam Mack

6707 Groveton Drive Clinton, MD 20735

Registration Packet

Page 9: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

9

Maryland 4-H Behavioral Expectations A goal of the Maryland 4-H program is to provide opportunities for children and youth to build character. Maryland 4-H supports the CHARACTER COUNTS!SM six pillars of character: TRUSTWORTHINESS, RESPECT, RESPONSIBILITY, FAIRNESS, CARING AND CITIZENSHIP. In order to ensure that Maryland 4-H programs provide positive environments for all individuals to learn and grow, 4-H participants agree to abide by these expectations of behavior: (CHARACTER COUNTS! Is a service mark of theCHARACTER COUNTS! Coalition, a project of the Josephson Institute of Ethics.)

I will be trustworthy. I will be worthy of trust, honor and confidence. I will be a model of integrity by doing the right thing even when the cost I high. I will be honest in all my activities. I will keep my commitments by attending all sessions of the planned event. If I am not feeling well or have a schedule conflict, I will inform my chaperon or a person in charge. I will be in the assigned area (e.g., club meeting room, building, and dorm) at all times. Maryland 4-H does not permit dishonesty by lying, cheating, deception or omission.

I will be respectful. I will show respect, courtesy, and consideration to everyone, including myself, other program participants and those in authority. I will act and speak respectfully. I will treat program areas, lodging areas, and transportation vehicles with respect. I will not use vulgar or abusive language or cause physical harm. I will appreciate diversity in skill, gender, ethnicity and ability. Maryland 4-H does not tolerate statements or acts of discrimination or prejudice.

I will be responsible. I will be responsible, accountable and self-disciplined in the pursuit of excellence. I will live up to high expectations so I can be proud of my work and conduct. I will be on time to all program events. I will be accountable by accepting responsibility for my choices and actions. I will abide by the established program curfew. I will be responsible for any damage, theft or misconduct in which I participate.

I will be fair. I will be just, fair and open. I will participate in events fairly by following the rules, not taking advantage of others and not asking for special exceptions.

I will be caring. I will be caring in my relationships with others. I will be kind and show compassion for others. I will treat others the way I want to be treated. I will show appreciation for the efforts of others. I will help members in my group to have a good experience by striving to include all participants.

I will be a good citizen. I will be a contributing and law-abiding citizen. I will be respectful to the environment and contribute to the greater good. I will not use any illegal substances such as tobacco, alcohol and drugs.

Page 10: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

10

Maryland 4-H Disciplinary Policy and Procedures

I. Maryland 4-H expects youth participating in programs to behave in an acceptable manner andin accordance with the Maryland 4-H Behavioral Expectations outlined on the reverse side of this document. 4-H participants who engage in unacceptable conduct, including the following behaviors, are subject to discipline.

• Possession, use, or distribution of alcohol and/or illegal drugs.• Possession or use of weapons or dangerous materials.• Possession or use of tobacco products.• Misuse of prescription or nonprescription drugs.• Sexual activity.• Lying, cheating, and misrepresenting project work or other unethical practices.• Unauthorized absence from program site.• Physical, verbal, emotional, or mental abuse of, or threats toward another person.• Theft, destruction, or abuse of property.

II. A participant in a 4-H program who engages in conduct (including the above behaviors) that, inthe discretion of the extension faculty, staff or MCE volunteer in charge, may jeopardize the health or safety of the participant or others, or the integrity of 4-H, will be dismissed immediately from the program (meeting, activity, event, trip, camp, etc.). The participant’s parent or guardian will be responsible for providing transportation home for a child if dismissed.

III. Following a program, a participant and his/her parent or guardian will be notified in writing ofthe nature of any unacceptable conduct for which sanctions (up to and including suspension from one or more 4-H programs or dismissal from (4-H) are being considered. In such cases:

• The extension faculty or staff member with overall responsibility for the program will setup a meeting to hear the 4-H member. The 4-H member’s parent or guardian will be permittedto be present at such time. At the discretion of MCE or at the request of the 4-H participant, acommittee may be appointed by MCE to review the matter.• Following the meeting, the 4-H participant and his or her parent/guardian will be notifiedin writing of the outcome of the meeting and any sanction(s) to be imposed.• Sanctions may be appealed in writing within seven (7) days after receiving notice of thedecision, to the County Extension Director (CED). In the event that the extension faculty incharge also serves as the CED, the appeal will be made to the Regional Extension Director(RED).• The 4-H participant and his/her parent or guardian will be notified in writing of thedecision of the CED (or RED). The decision of the CED (or RED) may be appealed in writing tothe State 4-H Leader within seven (7) days after receiving notice of the decision. The decisionof the State 4-H Leader will be final.

Page 11: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

11

“I HAVE READ THE MARYLAND 4-H BEHAVIORAL EXPECTATIONS AND THE MARYLAND 4-H DISCIPLINARY POLICY AND PROCEDURES. I AM AWARE THAT MY ACTIONS AND DECISIONS AFFECT ME AND OTHERS AND MAY RESULT IN LOSS OF PRIVILEGES DURING 4-H PROGRAMS, AND FOR FUTURE PROGRAMS. I WILL ACCEPT THE APPROPRIATE AND LOGICAL CONSEQUENCES OF MY ACTIONS, AS DETERMINED BY MARYLAND 4-H.”

Member Signature _____________________________________________________________________________ Date __________________________

“AS THE PARENT/GUARDIAN OF ________________________________________________, I HAVE READ THE MARYLAND 4-H BEHAVIORAL EXPECTATIONS AND THE MARYLAND 4-H DISCIPLINARY POLICY AND PROCEDURES AND WILL SUPPORT THE INDIVIDUAL IN CHARGE IN MAINTAINING APPROPRIATE BEHAVIOR. I AGREE TO ACCEPT THE APPROPRIATE AND LOGICAL CONSEQUESNCES OF MY CHILD’S ACTIONS AS DETERMINED BY MARYLAND 4-H.”

Parent/Guardian Signature ___________________________________________________________________ Date _____________________________

“It is the policy of the University of Maryland, Agricultural Experiment Station and Maryland Cooperative Extension, that no person shall be subjected to discrimination on the grounds of race, color, gender, religion, national origin, sexual

orientation, age, marital or parental status or disability.”

Page 12: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

12

UNIVERSITY OF MARYLAND UNIVERSITY OF MARYLAND EXTENSION

PARENTAL RELEASE AND INFORMED CONSENT FORM PROGRAM: 4-H Pre-Teens Camp DATE(S): August 8-12, 2017

My minor child, as listed below, has my permission to fully participate as a representative of the University of Maryland Extension (UME) Maryland 4-H Youth Development Program in all activities associated with the above named program.

In connection with and consideration of my child’s participation in the Program, I, on behalf of my child and myself, my heirs, personal representative(s) and assigns, hereby represent and agree as follows:

1. I am aware that any program related activity can be dangerous, and I fully recognize and understand that there are risksand hazards, both minor and serious, associated with participation in the Program and related activities, including, butnot limited to: cuts, scrapes, bruises, broken bones, muscle strains, pulls or tears, head, neck, back, eye and other bodilyinjuries, heat prostration, brain damage, blindness, deafness, drowning, heart attacks, paralysis and, even, death. Thefollowing is a description and examples of specific, significant, non-obvious dangers and risks associated with thisactivity. There is potential for accidents and/or injuries arising from: (Add the activities here – see sample forsuggestions)a. Transportation to and from camp (Camp Round Meadow – Thurmont, MD)b. General camping activitiesc. Hikingd. Swimming

2. I understand that my child is not in any way required to participate in the Program, but I want them to participate, despitethe possible dangers and despite this Release.

3. I represent and warrant that my child has no physical, health related or other problems which would preclude or restricttheir participation in the Program or otherwise render their participation dangerous or harmful to them or others. Ifurther represent and warrant that my child has adequate medical, health and/or other insurance for participation.

4. Knowing the dangers, hazards and risks associated with the Program, and with sufficient knowledge of my child’sphysical condition(s) and limitations, if any, I voluntarily assume all responsibility and risk of loss, damage, illnessand/or injury to person or property which my child may, in any way, sustain in connection with participation in theProgram and related activities.

5. I agree that my child must abide by all rules and regulations applicable to participation in the Program. Should my childrequire emergency medical treatment or first aid as a result illness or injury associated with the Program or relatedactivities, I consent to such first aid and/or treatment.

6. To the fullest extent permitted by law, I hereby release and forever discharge, and agree not to sue and to indemnify andhold harmless, the State of Maryland, the University of Maryland, University of Maryland Extension and their governingboards, officers, agents, employees and volunteers from and against any and all liabilities, claims, demands and causes ofaction of any kind on account of any loss, damage, illness or injury to person or property in any way arising out of orrelating to my child’s participation in the Program and/or related activities, whether due to the negligence, mistake orother action or inaction of UME or any other person or entity.

7. I do hereby consent and agree that the Maryland 4-H Youth Development Program has the right to take photographs orrecord video/audio tapes of my child and to use these for educational and/or promotional materials. I further consent thatmy child's name may be revealed therein or by descriptive text or community. I hereby release to the Maryland 4-HYouth Development Program all rights to exhibit this work publicly or privately, including posting it on the Maryland 4-H Website. I waive any rights, claims or interests I or my child may have to control the use of my child's identity orlikeness in the photographs, video or audio, and agree that any uses described herein may be made without compensationor additional consideration of me or my child.

Page 13: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

13

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND THAT I HAVE READ AND FULLY UNDERSTAND THIS RELEASE AND INFORMED CONSENT FORM, AND I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Signature of Parent/Guardian Having Care and Custody of Participating Child Date

Name of Parent/Guardian: Emergency Telephone: ( )

Participating Child’s Name: Signature: Age:

University of Maryland Extension programs are open to all citizens without regard to race, color, gender, disability, religion, age, sexual orientation, marital or parental status, or national origin. Rev. - July 2000 (D. Andrews) Updated for Extension Name and Logo Change AMT 3/2010

Page 14: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

14

PHOTOGRAPH RELEASE FORM Prince George’s County 4-H Pre-Teens Camping Program During 4-H Camp at Camp Round Meadow; camp staff, directors, and counselors take photographs of the children involved in various activities throughout the week. These photos may be used on the Prince George’s County 4-H website, camp website, in the 4-H newsletters, and brochures. Initial one of the following: ______ I grant permission _______ I do not grant permission for my child’s photographs from the 2017 4-H Camp to be used in Prince George’s County 4-H publications. I understand granting permission will allow the general public to view these photos. I do hereby release, discharge and hold harmless and indemnify the University of Maryland Extension, University of Maryland System, and State of Maryland, and all regents, officers, employees, agents, successors and assigns thereof, from any and all claims and demands of whatever nature, actions, causes of action appeals, obligations, liabilities, promises, suits, rights, charges, damages, punitive damages, cost, loss of service, loss of employment opportunity, emotional suffering, cost of litigation, humiliation, embarrassment, mutual anguish, injury of reputation, personal injury, and any and all other legal, equitable or administrative relief of any kind, known or unknown, suspected or unsuspected, having already resulted or to result in the future, as a result of or relating to my participation in the above program and/or activity. I, the undersigned, acknowledge that I sign this Release knowing and intelligently and with full and complete knowledge of the purpose of said program and without any form of duress and/or intimidation whatsoever on the part of the University of Maryland Extension, or University of Maryland System. Parent/Guardian Signature: ______________________________ Date: ___________ Child’s Name: ______________________________

University of Maryland Extension Prince George’s County

6707 Groveton Drive Clinton, MD 20735

301-868-9636 (phone) 301-599-6714 (fax)

Page 15: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

15

Cell Phone Statement

At 4-H Pre-Teens Camp, we have always had a “no cell phone” policy. Due to potential liabilities, enforcement of this policy is crucial to our continued camp success. Aside from the fact that cell phones are expensive and can get lost or stolen and that the physical camp environment is not kind to such items, there is a fundamental problem with campers having cell phones at camp, and that is trust. When children come to camp they–and you-are making a leap of faith, transferring their primary care from you as their parents to us and their counselors. This is one of the growth-producing, yet challenging aspects of camp. As children learn to trust other caring adults, they grow and learn, little by little, to solve some of their own challenges. We believe this emerging independence is one of the greatest benefits of camp. It is one important way your children learn to become resilient. Contacting you by phone essentially means they have not made this transition. It prevents us from getting to problems that may arise and addressing them quickly. Sending a cell phone to camp is like saying to your child that you as the parent haven’t truly come to peace with the notion of them being in our care. You can help by talking with your child before they leave for camp and telling them that there is always someone they can reach out to; whether it is a counselor, a trusted activity leader, the head counselor or even the director. We are here to help, but if you don’t trust us, they certainly won’t. It is important to understand why cell phones are not only disruptive but can lead to other situations. Cell phones that are cameras can be used to take pictures in cabins that might accidentally catch another camper indisposed. That picture can then be sent out via picture mail, posted to Facebook, etc. That is not a situation that the camper, their parents or us as a camp staff want to happen. This is just one of the possible situations that can occur if you allow your child to bring a cell phone to camp. Any cell phone that is brought to camp and will be collected and held until the end of the week and WILL NOT BE RETURNED until the buses are being boarded. Disciplinary action may be taken depending on the circumstances. I, _______________________________, have read the above information and agree not to bring a cell phone to camp. I understand that if I am seen with a cell phone during any part of my time at camp, it will be collected and held until the end of the week. This could affect whether or not I will be asked to participate in camp the following year as a leader. ________________________________ ________________________________ Signature of Camper Signature of Parent/Guardian ***your child will not be permitted to board the bus unless this form is signed and on file with camp staff***

Page 16: Dear Parents and Campers - University Of Maryland...Although camp can help your child learn leadership, teambuilding, make healthy lifestyle, eating and physically choices, and improve

The University of Maryland Extension programs are open to all citizens without regard to race, color, sex, handicap, religion, age, national origin.

The Department of Parks and Recreation encourages and supports the participation of individual with disabilities. Please contact the facility at least two weeks in advance of the program start date to request accommodation (i.e. sign language interpreter, support, etc.)

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Dear Parents:

MARYLAND 4-H CAMPS Sunscreen Authorization Form

The Maryland Department of Health and Mental Hygiene has adopted a policy regarding the use of sunscreen at youth camps. In order to operate a camp in the state of Maryland, we must abide by the policy as outlined below.

Please read the following regarding use and application of sunscreen at Maryland 4-H Camps. The authorization statement must be completed and submitted along with sunscreen labeled for your camper (one form and bottle per camper) on the first day of camp, at the start of each subsequent week, if the brand of sunscreen changes, or if a new bottle is supplied at any time.

Please address questions about this policy to your Camp Coordinator.

MARYLAND 4-H CAMPS SUNSCREEN POLICY

1. Each Camper’s parent/guardian must provide written permission for use and application of sunscreen on their child. 2. Sunscreen containers must be clearly labeled with the Camper’s name and must be provided to Camp Staff at camp check-in.

This signed authorization form must submitted along with the sunscreen. 3. Campers should, in most instances, apply the sunscreen on their own. If assistance is needed it will be provided by Camp

Staff ONLY if specifically authorized (see below). 4. For Day Camps, Campers need to have sunscreen applied to them by the parent/guardian BEFORE arriving at camp, not

when dropping off.

MARYLAND 4-H CAMPS SUNSCREEN AUTHORIZATION (Complete and sign appropriate block below)

Camper’s Name: Camper’s Age:

Brand of Sunscreen:

SPF:

Expiration Date:

I give permission for members of the Maryland 4-H Camp Staff to assist in applying sunscreen to my child. I understand that this may require the staff member to touch my child’s face, shoulders, back, arms, and lower legs. Sunscreen will be applied in the presence of other staff members. I understand that staff will not apply sunscreen to my child’s front torso or upper legs, but will assist and/or direct the child to do so.

In the event my child does not bring sunscreen to camp and conditions warrant its use, by my signature below I authorize members of the Maryland 4-H Camp Staff to use camp supplies of sunscreen, and to apply this sunscreen to my child’s body as described above.

Parent/Guardian’s Printed Name

Parent/Guardian’s Signature

Date

OR

I DO NOT give permission for Maryland 4-H Camp Staff Members to assist in applying sunscreen to my child.

Parent/Guardian’s Printed Name

Parent/Guardian’s Signature

Date

University of Maryland Extension programs are open to all and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry or national origin, marital status, genetic information, political affiliation, or gender identity and expression.

4/2015